Form 5500 · Employee benefit plan · SOLON, OH
ADHAWK INC. DBA BROADLUME
The filing calls this plan ADHAWK INC. DBA BROADLUME HEALTH AND WELFARE PLANS.
ADHAWK INC. DBA BROADLUME of SOLON, OH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is RSC INSURANCE BROKER. INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-4089399 · plan 501 · plan year 2025, filed Aug 19, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 2 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 88 people.
Reported premium across the insured contracts is $152,258, with $20,304 in disclosed broker commissions — about 13% of premium.
The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.
RSC INSURANCE BROKER. INC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and METROPOLITAN LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental, Vision | 88 | Nov 1, 2025 | $104,381 | $10,401 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life, Disability | 147 | Nov 1, 2025 | $47,877 | $9,903 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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